腹腔镜；胆管结石；胆道探查_

腹腔镜胆总管探查术36例体会

http://www.100md.com 《腹腔镜外科杂志》 2006年第6期

腹腔镜；胆管结石；胆道探查,,腹腔镜；胆管结石；胆道探查,1资料与方法,2结果,3讨论,参考文献：

     【摘要】目的：探讨腹腔镜胆道探查术治疗胆石症的技术关键。方法：回顾性分析我院36例实施腹腔镜胆总管探查术的胆总管结石患者的临床资料。结果：34例成功实施了腹腔镜胆总管探查，胆总管一期缝合8例，放T管引流26例。中转开腹2例。术后发生胆漏2例。手术时间1～3h，术中出血30～100ml，住院时间5～14d。结论：腹腔镜胆总管探查术是一种安全可靠的治疗胆石症的方法。

    【关键词】腹腔镜；胆管结石；胆道探查

    Clinical experiences of laparoscopic common bile duct exploration

    ZHANG Hong,ZHOU Xiaofeng.

    Yuelai Center Hospital of Dayi Country,Dayi 611330,China

    【Abstract】 Objective:To study the clinical application of laparoscopic common bile duct exploration in treatment of choledocholithasis.Methods:Retrospective analysis of 36 cases of laparoscopic common bile duct exploration from May 2004 to May 2005 was performed.Results:34 cases succeed in performing laparoscopic common bile duct exploration,8 cases with primary suture,26 cases with Ttube drainage.A conversion to open surgery was made in 2 cases.2 cases suffered from bile leakage.The operative time was between 13h.The intraoperative blood was between 30100ml.Inhospital days were 514d.Conclusions:Laparoscopic common bile duct exploration should be the safe method to treat gall stone concomitant with choledocholithiasis for the advantages of less pain,more rapid recovery and shorter hospitalization. ......

百拇医药网 http://www.100md.com/html/DirDu/2007/02/17/37/56/51.htm

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